withdrawal

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					                                                                                    Northumbria University




              NOTIFICATION OF WITHDRAWAL OF REGISTRATION


Student’s Full Name:
Type of Programme:
Mode of Study:
Title of Research
Programme:




Reasons for withdrawal of                     Academically unsatisfactory
registration:                                 Medical problems
(Please tick as appropriate)
                                              Change of employment
                                              Domestic difficulties
                                              Pressure of other commitments
                                              Other (please specify)




Signed: ……..............................................................................   Date: ..................................
(On behalf of School Research Committee)

				
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